Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 58008 | MN |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 62257-20 | WI |
NPI | 1629242979 |
---|---|
Provider Name | Jessica M Downes |
First Address | Minneapolis, MN 55415 |
Second Address | Minneapolis, MN 55415 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2008 |
Last Update Date | 09/03/2017 |